Name: ______________________________________________ Grade: ______ INSURANCE: Student Accident Insurance must be taken unless the insurance waiver option is checked below by the parent indicating adequate personal insurance and releasing the Board of Education and its employees from responsibility for any claim due to injuries received while participating in a school- sponsored athletic program. This requirement also includes team tryouts and out of season workouts. 1. There are limitations in the Student Accident Insurance coverage. It will not always pay all charges for every accident. Read the description of the current Student Accident Insurance carefully. Even if you have adequate personal insurance, it is strongly recommended that you purchase the student accident insurance to supplement or increase your own personal insurance plans. 2. Neither the Board of Education nor any of its employees will assume responsibility for claims resulting from injury to your child while he or she is participating in this program. This means that you will have to pay for any necessary medical treatment not covered by the Student Accident Insurance or any personal insurance coverage that you might have. 3. School Board Policy requires that all students who participate in athletics be adequately covered by medical or accident insurance. Select one of the following options: _____ (a) I have adequate personal insurance and release the Board of Education and its employees from any responsibility in this matter. _____ (b) My Son/Daughter is already enrolled in the Student Accident Insurance Program and has coverage appropriate for his/her sports. I understand that I am responsible for payment of any charges not covered by this policy. _____ (c) I need to purchase Student Accident Insurance. Information can be obtained online at www.studentinsurance-kk.com or requested at the school. Additional insurance information sheet is also included in this packet. Football players, grades 9-12, choosing this option, must take the HS Football Coverage Plan. MEDICAL AUTHORIZATION: Permission is hereby granted to the Athletic Director, Athletic Trainer, or Coaching staff at our Cabarrus County School to proceed with ANY needed medical treatment, ambulance notification, and/or x-ray for the above named student. In the event of serious illness or injury, need of surgery, or accidental occurrences, I understand that an attempt will be made by the coaching or medical staff to contact me by phone. If unsuccessful, needed emergency treatment may be given as necessary for the best interest of the student and a copy of this permission will be furnished to the doctor in charge. I also grant permission for the treating physician to release health related information to the athletic director, athletic trainer, and coaches as needed to care for my child. RETURN THIS PAGE 2017-2018 Cabarrus County Schools ~ Athletic Participation Packet 2017 – 18 ATHLETE INFORMATION: Fall Sport: Winter Sport: Spring Sport: Last Name: First Name: Middle Initial: Grade: Gender: Date of Birth: Current Age: Known Allergies/Illnesses: Current Medications Taken: PARENT INFORMATION: Mother’s Name: Father’s Name: Cell Phone: Cell Phone: Work Phone: Work Phone: Mother’s Email: Father’s Email: Emergency Contact: Phone: DOMICILE: I certify the address shown below is our sole, bona fide domicile. This domicile is within the assigned school boundary for my child’s athletic participation. If domicile is not within the assigned school boundary, I certify that my child has been granted a CCS approved transfer & has been approved to participate in Athletics. I also agree that I will notify the school immediately of any domicile changes, since a move or change may affect eligibility status. FALSIFYING information will result in a student losing his/her athletic eligibility for up to the remainder of his/her school tenure in Cabarrus County Schools. Street City: State: Zip: This packet contains additional information about policies and regulations for Cabarrus County Schools Student Athletes. G-W Concussion Statement & Information Student Athlete Contract Felony Policy Criminal Charges Policy NCHSAA Student Athlete & Parent Pledge NCHSAA Sportsmanship/Ejection Policy Est. CCS “Athletic School” for current school year Transportation Information Residency Requirements Assumption of Risk Football Assumption of Risk High School Eligibility Middle School Eligibility Insurance information sheet Heads Up Football waiver Your signature below certifies that you have received, discussed, and reviewed this packet of information with your student athlete. It also certifies that you understand the information and agree to abide by the rules therein. Athlete’s Signature: Date: Parent’s Signature: Date:
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INSURANCE: Student Accident Insurance must be taken unless the insurance waiver option is checked below by the parent indicating adequate personal insurance and releasing the Board of Education and its employees from responsibility for any claim due to injuries received while participating in a school-sponsored athletic program. This requirement also includes team tryouts and out of season workouts. 1. There are limitations in the Student Accident Insurance coverage. It will not always pay all charges for every accident. Read the description of the current
Student Accident Insurance carefully. Even if you have adequate personal insurance, it is strongly recommended that you purchase the student accident insurance to supplement or increase your own personal insurance plans.
2. Neither the Board of Education nor any of its employees will assume responsibility for claims resulting from injury to your child while he or she is participating in this program. This means that you will have to pay for any necessary medical treatment not covered by the Student Accident Insurance or any personal insurance coverage that you might have.
3. School Board Policy requires that all students who participate in athletics be adequately covered by medical or accident insurance.
Select one of the following options: _____ (a) I have adequate personal insurance and release the Board of Education and its employees from any responsibility in this matter.
_____ (b) My Son/Daughter is already enrolled in the Student Accident Insurance Program and has coverage appropriate for his/her sports. I understand that I am responsible for payment of any charges not covered by this policy.
_____ (c) I need to purchase Student Accident Insurance. Information can be obtained online at www.studentinsurance-kk.com or requested at the school. Additional insurance information sheet is also included in this packet. Football players, grades 9-12, choosing this option, must take the HS Football Coverage Plan.
MEDICAL AUTHORIZATION: Permission is hereby granted to the Athletic Director, Athletic Trainer, or Coaching staff at our Cabarrus County School to proceed with ANY needed
medical treatment, ambulance notification, and/or x-ray for the above named student. In the event of serious illness or injury, need of surgery, or accidental occurrences, I understand that an attempt will be made by the coaching or medical staff to contact me by phone. If unsuccessful, needed emergency treatment may be given as necessary for the best interest of the student and a copy of this permission will be furnished to the doctor in charge.
I also grant permission for the treating physician to release health related information to the athletic director, athletic trainer, and coaches as needed to care for my child.
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Cabarrus County Schools ~ Athletic Participation Packet 2017 – 18
ATHLETE INFORMATION:
Fall Sport: Winter Sport: Spring Sport:
Last Name: First Name: Middle Initial:
Grade: Gender: Date of Birth: Current Age:
Known Allergies/Illnesses:
Current Medications Taken:
PARENT INFORMATION:
Mother’s Name: Father’s Name:
Cell Phone: Cell Phone:
Work Phone: Work Phone:
Mother’s Email: Father’s Email:
Emergency Contact: Phone:
DOMICILE: I certify the address shown below is our sole, bona fide domicile. This domicile is within the assigned school boundary for my child’s athletic participation. If domicile is not within the assigned school boundary, I certify that my child has been granted a CCS approved transfer & has been approved to participate in Athletics. I also agree that I will notify the school immediately of any domicile changes, since a move or change may affect eligibility status. FALSIFYING information will result in a student losing his/her athletic eligibility for up to the remainder of his/her school tenure in Cabarrus County Schools.
Street
City: State: Zip:
This packet contains additional information about policies and regulations for Cabarrus County Schools Student Athletes.
NCHSAA Sportsmanship/Ejection Policy Est. CCS “Athletic School” for current school year Transportation Information Residency Requirements Assumption of Risk
Football Assumption of Risk High School Eligibility Middle School Eligibility Insurance information sheet Heads Up Football waiver
Your signature below certifies that you have received, discussed, and reviewed this packet of information with your student athlete. It also certifies that you understand the information and agree to abide by the rules therein.
WE, THE UNDERSIGNED STUDENT AND PARENT HAVE READ THE STUDENT-ATHLETE CODE OF CONDUCT, UNDERSTAND ITS CONTENTS, AND AGREE TO ABIDE BY THE REGULATIONS/RULES SET FORTH IN THIS DOCUMENT. STUDENT SIGNATURE/DATE ____________________________________________________________ STUDENT’S NAME (PLEASE PRINT) _______________________________________________________ PARENT/GUARDIAN SIGNATURE/DATE ___________________________________________________ THIS SIGNED DOCUMENT IS REQUIRED FOR PARTICIPATION IN ALL ATHLETIC ACTIVITIES AT JAY M. ROBINSON HIGH SCHOOL AND SHALL BE KEPT ON FILE IN THE ATHLETIC OFFICE. (Please sign this page and return it to the Athletic Director.)
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STUDENT ATHLETE CONTRACT CABARRUS COUNTY SCHOOLS
I understand participating in athletics is a privilege and not a right. I have certain responsibilities that I must maintain since I will be representing my school.
Conditions for participating in athletics are as follows:
I will meet ALL eligibility requirements set forth by the North Carolina High School Athletic Association.
DRUG and ALCOHOL - I commit to staying drug and alcohol free.
“Charged” or “School Related/Violation of CCS Student Code of Conduct” Alcohol/Drug Offenses: 1st Offense – Suspension from participation for the remainder of the current season or off-season (including
summer). All court consequences must be resolved before petitioning to return to the athletic program. *See Criminal Charges Policy located on Athletic Pledges and Additional Policies Page.
2nd Offense – 365 days suspension from athletic participation 3rd Offense – Suspension from athletic participation for the remainder of the student’s high school career
Any student who has continuing charges or unresolved court consequences on the first day of tryouts for that particular season will NOT be allowed to participate for that season.
“Non-Charged” or “Non-School Related” Alcohol/Drug Offenses: Suspension from participation for the remainder of the current season. When “out of season”, any student involved
with drugs or alcohol will not be allowed to participate in off season workouts for that current season (including summer).
If a second offense occurs within a one year time period of the first offense, the student athlete will be suspended from ALL athletic participation for 365 days.
I understand that my participation is governed by Board of Education Policy 3620 and that my participation may be restricted if I (1) am charged with criminal conduct; (2) violated the student conduct standards found in the 4300 series of policies; or (3) have violated school rules for conduct. Any student who has continuing charges or unresolved court consequences on the first day of tryouts for that particular
season will NOT be allowed to participate for that season.
I represent the athletic department and my actions reflect on the school, community, and my family. Any actions that bring discredit to me or these institutions will be dealt with by the administration and the athletic department and may include
dismissal from the team. THIS INCLUDES ALL SOCIAL MEDIA SITES.
I understand that my “athletic school” is established for the current school year on the first day that I try out for a team at the CCS school in which I am properly enrolled and athletically eligible. Once “athletic school” is established for that school year, I will not be allowed to participate at another CCS school that same year, even in the event that a bona fide move is made. (Under extraordinary circumstances, an appeal can be made to the CCS Athletic Hardship Committee.)
I understand that when being interviewed by the media, my comments will represent my school, my team, my coaches, and myself in a positive manner.
I commit myself to continuously working toward the goal of being a contributing member of an athletic team at my school.
Once I begin a sport, I may not try-out for any other sport until that team’s season is completed.
If I decide to quit a sport, I must immediately notify the coach and return all uniforms/equipment issued. I will be charged for all uniforms/equipment not returned and prevented from entering the next sport.
If I quit a team during a contest, I will be suspended from that team for the remainder of the season. I may also be suspended from athletics for up to one year and must have the permission from the principal and athletic director to rejoin the athletic program.
I understand that to letter in a sport I must fulfill all requirements of the athletic department and the head coach.
I must be counted “present” at school for at least half a day on game day/practice day. Exception: Under extraordinary circumstances, the parent can petition the school (Principal/A.D.) in writing for permission to participate. (e.g. Immediate family funeral; College/University visit)
I must ride to and from the game in which an activity bus is provided. (Athletes are to ride back after the contest under the supervision of the coach unless their parent(s) receive permission from the head coach (in person) at the end of the contest to ride with them. Parents must sign off that there child is riding with them).
I pledge to be a positive role model to my fellow student athletes/teammates and help them abide by all of the athletic department’s rules and policies.
If I am removed from a team for disciplinary reasons, I may be prohibited to return to any event involving that team or sport for the remainder of the season.
In keeping with the sportsmanship and team spirit/chemistry necessary to have a successful season, it is of the utmost importance that all athletes conduct themselves in a positive manner supporting their team. If deemed that any actions are considered detrimental to the success of the team, that athlete may face disciplinary action as deemed fit by the coach including removal from the team. In signing off on this statement you are assuring Cabarrus County Schools that you will be a positive team player and will support the team in all your actions.
NCHSAA Student Athlete Pledge - As a student-athlete, I am a role model. I understand the spirit of fair play while working hard. I will refrain from engaging in all types of disrespectful behavior, including inappropriate language, taunting, taunting, trash talking and unnecessary physical contact. I know the behavior expectations of my school, my conference, and the NCHSAA and hereby accept the responsibility and privilege of representing this school and community as a student athlete. I accept my responsibility to model good sportsmanship that comes from being a student-athlete.
NCHSAA Parent Pledge - As a parent, I acknowledge that I am a role model. I will remember that school athletics is an extension of the classroom, offering learning experiences for the students. I must show respect from all players, coaches, spectators and support groups. I will participate in cheers that support, encourage and uplift teams involved. Using inappropriate language and taunting are contrary to the spirit of fair play and the good sportsmanship our school and conference and the NCHSAA expect. I hereby accept my responsibility to be a role model of good sportsmanship that comes with being the parent of a student athlete. I certify that the home address as parents shown in this document is my sole bona fide residence, and I will notify the school principal immediately of any change of residence, since such a move may alter the eligibility status of my student/athlete. All other information contained in this form is accurate and current.
NCHSAA Sportsmanship/Ejection Policy - We acknowledge that we, both the student and parent, have read and understand the NCHSAA Sportsmanship/Ejection Policy. We understand that the following types of behavior will result in an ejection from an athletic contest: fighting, taunting or baiting, profanity directed toward an official or an opponent, obscene gestures, disrespectfully addressing an official, flagrant contact.
1st ejection: 2 game suspension in all sports except 1 game in football Ejection for fighting doubles the penalty: 4 games in all sports except football, which is a 2 game suspension
2nd ejection: Suspended for remainder of sport season. 3rd ejection: Suspended from ALL athletic competition for 365 days from date of 3rd ejection.
Felony Policy - The NCHSAA Policy on felony charges states that any student who is subject to the 8 semester rule who (1) Is convicted of a crime classified as a felony under North Carolina or federal law or (2) is adjudicated delinquent for an offense that would be a felony if convicted by an adult; is not eligible to participate in the NCHSAA sports program effective immediately through the end of the students high school career.
Criminal Charges Policy - As the parent of a student-athlete, I certify that there are no pending criminal charges against my child. If at any time during the school year, my child is charged with a crime, I must immediately notify the school which he/she attends. Failure to do so will result in the student-athlete losing his/her athletic eligibility for up to the remainder of his/her school tenure with Cabarrus County Schools.
According to CCS Board Policy 3620, student participation in extracurricular activities may be restricted due to criminal charges (other than minor traffic violations). If the student is acquitted of the charge(s) or the charge is dismissed, he/she may apply to the principal for reinstatement of the privilege to participate in extracurricular activities.
Suspension from extracurricular activities for criminal charges shall continue until court involvement is completed, including but not limited to the following: Charge is dismissed; Student is acquitted; or Court consequence(s) are completed (probation is completed; fines are paid; community service is completed)
In addition, suspension from extracurricular activities for subsequent criminal charges shall result in the following consequences if student was convicted of prior charges:
2nd Offense (if convicted) – 365 day suspension from extracurricular activities 3rd Offense (if convicted) – suspension from extracurricular activities for the remainder of the student’s high school
career
Establishing CCS “Athletic School” for current school year – A student’s “athletic school” is established for the current school year on the first day that he/she tries out for a team at the CCS school in which the student is properly enrolled and athletically eligible. Once “athletic school” is established for that school year, the student will not be allowed to participate at another CCS school that same year, even in the event that a bona fide move is made. (Under extraordinary circumstances, an appeal can be made to the CCS Athletic Hardship Committee.)
Transportation To/From Extra-Curricular Activities - Students must ride to and from the event in which an activity bus is provided.
EXCEPTION: With prior written permission and the coach’s permission, parent/guardian may take his/her student home from the event. Parents and students are responsible for providing their own transportation to and from all practices and events where an activity bus or other school vehicle is not offered or available. Coaches and staff members shall not
Residency Requirements - A student is eligible to participate at the school to which he or she is assigned by the local board of education, within the administrative unit of residence. “Residence” as used for athletic eligibility purposes is defined as the equivalent of the term “domicile” as applied by the courts of North Carolina. Under no circumstances can a student have more than one residence for eligibility purposes. It is the obligation of the school to know the residence status of each athlete and to require compliance with these requirements. Except as otherwise provided, the residence of any student shall be deemed to be (a) that of his or her parents (if he/she lives with both parents); (b) that of the sole parent (if he/she lives with only one parent); (c) that of the parent with whom he/she spends the majority of nights during the school calendar year (if he/she has two parents who do not live together); or (d) that of the legal custodian if his/her custody has been awarded to a non-parent by a court of competent jurisdiction. In the event the parents are separated or divorced, the residence of the student shall be that of the parent or other adult to whom primary physical custody has been awarded by a court of competent jurisdiction. If no custody order has been entered, the residence shall be deemed to be that of the parent with whom the student spends the majority of nights during the school calendar year. Any change in residence must be bona fide. Determination of what constitutes a bona fide change of residence depends upon the facts of each case. In order for a change of residence to be considered bona fide at least the following facts must exist: (1) The original residence must be abandoned as a residence; that is sold, rented or disposed of as a residence, and must not be used as residence by any member of the family; (2) The entire family must make the change and take with them the household goods and furniture appropriate to the circumstances; (3) The change must be made with the intent that it is permanent. No non-parental guardianship will be recognized where a student has a living parent unless: there has been a determination of abandonment of the student by such parent(s) or a determination that the student is a dependent juvenile as defined in G.S.7A-5 17(13) or comparable statute by a court of competent jurisdiction; or the student has been judicially declared a ward of the court or has been identified as an orphan or placed in a foster home by the Division of Social Services (or a comparable agency if out of state) and custody (not guardianship) has been determined by the court or social service agency. A student whose custody has been established by court order or social services agency decision is eligible for participation at the school to which he or she is assigned by the Board of Education of the local unit where the custodian resides. The residence of a student who is emancipated shall continue to be his or her residence as of the time of emancipation, unless an exception is granted under the procedures established by the Hardship Rule. A student who resides out of state but attends a member high school could be eligible, if the student attends a member non-boarding parochial school or is a member of a parochial church and submits an authorized pastor verification form; or if the out-of-state student is attending a member school as an employee benefit because a parent is working at the school, the school must request a hardship waiver of the residence rule with appropriate documentation as a result of the employee status. The residence of a student who is in an organized and recognized foreign exchange program shall be considered to be the place to which he or she is assigned by that program, and is participate at the school to which he or she is assigned by the local education agency. Foreign students who are not part of an organized and recognized foreign exchange program must present extenuating circumstances through the procedure established in the Hardship Rule. A foreign exchange student is eligible only during the first year of residence in the United States. With the exception of this residence rule, foreign exchange students are subject to all other eligibility requirements, including but not limited to, the prohibition on participation after graduation or eligibility for graduation from high school. In no case will any exception be made to the following principles:
No student may participate at a second school in the same sport during the same sport season, except in the event of a bona fide change in residence of the parent(s) or legal custodian; change of schools must be contemporaneous with change in residence.
Documents purporting to establish guardianship or custody issued by a notary public, an attorney, a clerk of court, or any entity other than a court of record with competent jurisdiction will not be accepted.
Documents purporting to establish guardianship or custody issued by a notary public, an attorney, a clerk of court, or any entity other than a court of record with competent jurisdiction will not be accepted.
School Choice Programs - Upon acceptance into a HS Choice Program (STEM/IB/Academies), students acknowledge that they have established their athletic and extracurricular eligibility for the entire school year at that school. Under extraordinary
circumstances, a hardship request may be filed with the Superintendent/Superintendent’s designee.
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ASSUMPTION OF RISK INFORMATION WARNING TO STUDENTS AND PARENTS
The following is in compliance with requirements to inform all athletes that any activity involves the potential of injury, which is inherent in sports. I/We acknowledge that even, with the best coaching, use of the most advanced equipment and strict observance of the rules, injuries are still a possibility. On rare occasions these injuries can be severe as to result in total disability, paralysis or even death. I/We acknowledge have read and understand the warning.
SERIOUS, CATASTROPHIC AND PERHAPS FATAL INJURY MAY RESULT FROM ATHLETIC PARTICIPATION By its nature, competitive athletics may put students in situations in which SERIOUS, CATASTROPHIC and perhaps FATAL ACCIDENTS may occur.
Athletics can be one of the most rewarding aspects of any student’s scholastic career. We are proud that your son/daughter has chosen to be a student-athlete and has accepted the responsibility of that DUAL ROLE. It is our hope that you will share in your son/daughter’s athletic experience as a spectator and, more importantly, as a source of encouragement at home.
Many forms of athletic competition result in violent physical content among players, the use of equipment which may result in accidents, strenuous physical exercise, and numerous other exposures to risk of injury.
Students and parents must assess the risks involved in such participation and make their choice to participate in spite of those risks. No amount of instruction, precaution, or supervision will totally eliminate all risk of injury. Just as driving an automobile it involves choice of risk, athletic participation by middle/junior and senior high students may also be inherently dangerous. There have been accidents resulting in death, paraplegia, quadriplegia, and other very serious permanent physical impairment as a result of athletic competition.
By granting permission for your child to participate in athletic competition, you, the parent or guardian acknowledge that such a risk exists.
By choosing to participate, you, the student, acknowledge that such a risk exists.
Students will be instructed in the proper techniques to be used in athletic competition and in the proper utilization of all equipment worn or used in practice and competition. Students must adhere to that instruction and utilization and must refrain from improper uses and techniques.
As previously stated, no amount of instruction, precaution, and supervision will totally eliminate all risk of serious, catastrophic, or even fatal injury. If any of the foregoing is not completely understood, please contact your school principal, athletic director, coach or athletic trainer for further information.
ASSUMPTION OF RISK - FOOTBALL ONLY Football is a contact sport and injuries will occur. The coaches working in our program are well-qualified professional people. Fundamentals related to playing football will continually and repeatedly be emphasized on and off the field. The information contained within the list of rules and procedures is to inform the young men/ women in our football programs of the proper techniques to practice for maximum safety in the contact phase of the game.
Serious head and neck injuries leading to death, permanent brain damage or quadriplegia (extensive paralysis from injury to the spinal cord at the neck level occurs each year in football. The toll is relatively small (less than one fatality for every 100,000 players and an estimated one non-fatal severe brain and spinal cord injury for every 100,000 players) but persistent. They cannot be completely prevented due to the tremendous forces occasionally encountered in football collisions; they can be minimized by the manufacturer, coach, and the player compliance with safety standards.
TACKLING, BLOCKING AND RUNNING THE BALL By rule, the helmet is not to be used as a “ram”. Initial contact is not to be made with the helmet. It is not possible to play the game safely or correctly without making contact with the helmet when properly blocking and tackling an opponent. Therefore, technique is most important to prevention of injuries.
Tackling and blocking techniques are basically the same. Contact is to be made above the waist but not initially with the helmet. The player should always be in a position of balance, knees bent, back straight, body slightly bent forward, HEAD UP, target area as near to the body as possible with the main contact being made with the shoulder.
Blocking and tackling by not putting the helmet as close to the body as possible could result in shoulder injury such as separation or a pinched nerve in the neck area. The dangers of not following the proper techniques can be from minor to disabling to even death. The reason for following the safety rules in making contact with the upper body and helmet is that improper body alignment can put the spinal column in a vulnerable position for injury.
If the head is bent downward the cervical (neck) vertebrae are in a bind and contact on the TOP OF THE HELMET could result in a dislocation, nerve damage, paralysis or even death. If the back is not straight, the thoracic (mid back) and lumbar vertebrae are also vulnerable to injury with similar results if contact again is made to the TOP OF THE HELMET. Cabarrus County’s daily football workout includes exercises to develop strength in the neck muscles. Strengthening the neck muscles is one of the best methods of preventing neck injury and enabling an individual to hold his head up even after getting tired during the workout or contest.
BASIC HITTIING (CONTACT) POSITION AND FUNDAMENTAL TECHNIQUE If the knees are not bent, the chance of knee injury is greatly increased. Fundamentally, a player should be in the proper hitting position at all times during live ball play and this point will be repeated continually during practice. The danger is anything from strained muscles, to ankle injuries, to serious knee injuries with may require surgery. The rules have made blocking below the waist (outside the two-yard by four-yard area next to the football at the line of scrimmage) illegal. Cleats have been restricted to no more than ½ inch to help further prevent knee injuries. A runner with the ball however, may be tackled around the legs.
In tackling, the rules prohibit initial contact with the helmet or grabbing the facemask or edge of the helmet. These restrictions were placed in the rules because of serious injuries resulting from Non-compliance to these safety precautions. Initial helmet contact could result in a bruise, dislocation, broken bone, head injury, internal injury such as kidneys, spleen, bladder, etc. Grabbing the facemask or helmet edge could result in a neck injury, which could be anything from a muscle strain to a dislocation, nerve injury, spinal column damage causing paralysis or death.
Illegal play by participating athletes shall not be tolerated and all players are repeatedly reminded of the dangers of unsportsmanlike acts.
FITTING AND USE OF THE EQUIPMENT Shoulder pads, helmets, hip pads, pants, including high pads and kneepads, must have proper fitting and use. Shoulder pads which are too small will leave the shoulder point vulnerable to bruises and separation; it could also be too tight in the neck area, will slide on the shoulders making them vulnerable to bruises and separations.
Helmets must fit snugly at the contact points: front, back and top of the head. The helmet must be safety approved “NOCSAE” stamped (certified seal); the chin straps must have four contact points to the helmet and must be fastened, and the cheek pads must be the proper thickness. On contact, too tight a helmet could result in a headache. Too loose a fit could result in headaches, concussion, and a face injury such as a broken nose or cheek bone; a blow to the back of the neck causing a neck injury could possibly be quite serious such as paralysis or death.
This report does not cover all potential injury possibilities in playing football, but it is an attempt to make the players aware that fundamentals, coaching and proper fitting equipment is important to the safety of those playing football in Cabarrus County.
The above information has been explained to me and I understand the list of rules and procedures. I also understand the necessity of using the proper technique while participating in the football program. I understand not to use the helmet to butt, ram, and spear an opposing player. This is a violation of the football rules and such use can result in severe head or neck injury, paralysis, or death and possible injury to opponents. NO helmet can prevent all head or neck injuries a player might receive while participating in football.
HEADS UP FOOTBALL WAIVER Cabarrus County Schools is participating in the Heads Up Football(r) program, a coach education program created by USA Football, Inc and operated by Heads Up Football(r), LLC, that instructs coaches in concussion education, Heat and hydration education, cardiac arrest, equipment fitting, Heads Up Tackling and Heads Up Blocking. I understand that although safety is highly emphasized, participation in Heads Up Football(r) activities in Cabarrus County Schools will expose my child to the risk of serious injury. Students who participate do so at their own risk. My child and I accept that risk and release USA Football and Heads Up Football(r) LLC from any claims of liability.
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Jay M. Robinson Student-Athlete Code of Conduct Philosophy Participation in any extracurricular athletic activity is an important part of the educational process. A primary goal of these activities is to teach students character and self-discipline skills which will enable them to develop to their highest potential. As role models for their peers and younger students, students who participate in extracurricular athletics are held accountable for their actions at a higher standard than other students. This code applies to every student who participates in an extracurricular activity at Jay M. Robinson High School. At Jay M. Robinson High School (JMRHS) we believe in teaching our young people high moral standards, integrity, discipline, character, sportsmanship, citizenship, the importance of teamwork, and the value of hard work and true dedication. The faculty, staff, and administration pledge to dedicate their time and energy to these efforts. This code represents the effort of JMRHS and the Cabarrus County School District to provide clear expectations for all participating students and their parents/guardians. It is the responsibility of each student to know and understand the obligations of this code as well as the established consequences that will be imposed if/when the provisions of this code are violated. ****Remember, participating in extracurricular athletic activities is a privilege, and not a right**** 1. OBLIGATIONS AS A STUDENT In addition to the rules of this code of conduct, a participating student must at all times conform to the rules of conduct of the team on which he/she is participating, as well as all school and school system rules. He/She shall not expect or receive special privileges with regard to meeting his/her obligations to teachers and any other school personnel. 2. OBLIGATIONS AS A STUDENT-ATHLETE
A. Each sport has certain individual requirements that lead to the development of specific skills
requiring different types of training. Every athlete has an obligation to know the rules of the North Carolina High School Athletic Association as well as those rules governing his/her sport. The NCHSAA rules can be found on their website, www.nchsaa.org.
B. As a student-athlete, the participant not only represents himself/herself, fellow team
members, coaches, and teachers, but also the school district, the school and its student body. Social media is an extension of this. Student-athletes must refrain from posting any defamatory, derogatory, or bullying posts to other athletes, students, teams, or schools. For these reasons, the participating student is expected to display the highest form of character and sportsmanship in school, practice, at home and away contests. If at any time a student’s actions bring harm or discredit to the organization of which the student is a member or to the school or district, the student may be subjected to disciplinary action, including suspension and/or removal from the team.
C. Be a teammate in every sense of the word. Bullying of any form will not be tolerated (verbal,
written, or psychological) and is subject to team discipline and school discipline as per Cabarrus County Schools Rules and Regulations, which may include removal from the team and prohibited from participating in athletics for the remainder of the school year.
Jay M. Robinson Student-Athlete Code of Conduct 3. OBLIGATIONS TO THE SCHOOL AND COMMUNITY Our schools and community actively support our student-athletes. Many coaches and volunteers work long hours to provide the finest equipment and facilities so that our teams can have the best possible opportunity to compete on an even basis with any established program in the state. Participating students are held accountable for the equipment/materials not returned or damaged beyond normal wear and tear. Participating students are expected to exercise respect for and take care of facilities and equipment provided by the school and booster clubs. 4. CONSEQUENCES FOR VIOLATING RULES OF CONDUCT These consequences apply in addition to any consequences imposed by the school, school district or team for violation of their separate rules of conduct. A. IN-SCHOOL AND OUT-OF-SCHOOL SUSPENSION
1. In-School Suspension Policy: A student that has been placed in ISS will be subject to disciplinary action from his/her individual coach as per that coach’s rules. Repeat offenders can be subject to disciplinary action from school administration which may include game suspensions or removal from the team.
2. Out-of-School Suspension Policy: If a participating student is given out-of-school suspension for any reason, he/she will be subject to the following additional consequences:
a. FIRST OFFENSE: A student participating in athletics will not be allowed to practice or play during the suspension period. If there is not a game during the suspension period, the student will not be permitted to play in the next game after the period of suspension.
b. SECOND OFFENSE: The student will be removed from extracurricular/co-curricular activities for the remainder of that season.
c. REPEATED OFFENSES: If a student continues to be suspended from school or has consistent disciplinary infractions, the principal may remove that student from athletic participation for up to the remainder of the school year or 30 school days, whichever is greater.
B. USE OF ILLEGAL DRUGS/ALCOHOL
The possession, use, distribution or sale of illegal or counterfeit drugs/alcohol by participating students is not acceptable at any time, on or off campus. Any student-athlete who is caught with possession, distributing, or using illegal drugs or alcohol is subject to school and athletic discipline as per the Cabarrus County Schools Handbook. C. CRIMINAL CHARGES Any participating student charged with a criminal offense will be suspended from extracurricular athletic activities while the principal or police investigates the underlying circumstances and assesses the impact of the matter on the school environment and is subject to athletic discipline as per the Cabarrus County Schools and NCHSAA Handbooks.
Jay M. Robinson Student-Athlete Code of Conduct D. GENERAL REQUIREMENTS/CONSEQUENCES
1. In order for a participating student to practice or participate in a game/activity (practice), he/she must be in attendance for at least 50% of the academic school day.
2. Any athlete who quits without permission of the coach or who is officially dismissed from a team before the season is over (including the playoffs) may not try out, practice, or participate with any other athletic team until the current season is completely over (including the playoffs). An athlete is considered a member of a team if he/she is listed on the team roster.
3. All participating students are required to turn in all uniforms, equipment, and fundraising items that are issued to them. A participating student may not participate in any other extracurricular athletic activity until he/she has turned in his/her uniform, fundraising materials, and equipment to the coach. Failure to do so will result in a financial debt to the school, and the student athlete will not be able to play any sport until that debt has been paid to the school.
4. Students are encouraged to ride to and from away contests/events with their team. However, this is not always possible. For liability and safety reasons, in the event that a parent/guardian needs to take a student following an event, the student will only be released directly to his/her parent/guardian. If this direct physical exchange is not possible, the student will ride back to the school with the team. Exceptions to this rule must be approved in advance by the principal and athletic director.
5. All participating students must be picked up within 30 minutes after all athletic activities. These activities include tryouts, team workouts, practice, and athletic contests. Repeated violations to pick a student-athlete up will result in the dismissal of the student athlete from his/her team with forfeiture of participating in team organized workouts. As per Cabarrus County School policy no student is to ride home with a coach or volunteer.
6. Parents have an obligation to be a good sportsman just as coaches and athletes; each party has an obligation to practice good sportsmanship and behavior at all athletic events both home and away. As per the NCHSAA Sportsmanship Code you are a representative of JMRHS and have an obligation to follow and practice good sportsmanship to the opposing team and their fans, officials, to JMRHS teams and fans. Failure to do so will result in the dismissal from all athletic events at JMRHS for the remainder of the school year, and will be addressed again at the conclusion of the school year.
7. Our website www.jmrhsathletics.com will post pictures of student athletes in competition. As per Cabarrus County Policy if you do not want your child’s photo to be published, you must submit this request in writing to the principal at the beginning of the school year.
